The Biopsychosocial-Digital Approach to Health and Disease: Call for a Paradigm Expansion
The Biopsychosocial-Digital Approach to Health and Disease: Call for a Paradigm Expansion
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DOI：
10.2196/jmir.9732
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发表时间：
2018-05-01
影响因子：
7.4
通讯作者：
Nissen, Lisa
中科院分区：
文献类型：
--
作者：
Ahmadvand, Alireza;Gatchel, Robert;Nissen, Lisa
数字医疗是现代医疗保健系统中的一个进步现象。目前，各国的众多利益相关者正在评估数字健康解决方案在个人、人口和/或组织层面的潜在好处。此外，医疗保健系统的客户方正在创造驱动因素，推动医疗保健提供者、政策制定者或研究人员采用数字医疗解决方案。然而，医疗保健提供者采用这些解决方案的方法可能有所不同。医疗保健提供者未被假定接受过适当的培训，无法满足将数字医疗解决方案融入日常实践和程序的要求。为了适应医疗保健系统不断变化的需求，有必要扩大相关范式并根据需要培训人力资源。在本文中，将基于评估健康和疾病的“生物心理社会模型”提出更全面的范式，该模型最初由乔治·L·恩格尔提出。必须利用“生物心理社会模型”来包含“数字”成分，从而建议对健康和疾病采取“生物心理社会数字”方法。解释了对“生物心理社会”模型的修改和向“生物心理社会数字”模型的过渡。此外，澄清了理解健康和疾病的新含义，即它们在培训卫生保健提供和研究人力资源方面的相关性。
Digital health is an advancing phenomenon in modern health care systems. Currently, numerous stakeholders in various countries are evaluating the potential benefits of digital health solutions at the individual, population, and/or organizational levels. Additionally, driving factors are being created from the customer-side of the health care systems to push health care providers, policymakers, or researchers to embrace digital health solutions. However, health care providers may differ in their approach to adopt these solutions. Health care providers are not assumed to be appropriately trained to address the requirements of integrating digital health solutions into daily everyday practices and procedures. To adapt to the changing demands of health care systems, it is necessary to expand relevant paradigms and to train human resources as required. In this article, a more comprehensive paradigm will be proposed, based on the 'biopsychosocial model' of assessing health and disease, originally introduced by George L Engel. The "biopsychosocial model" must be leveraged to include a "digital" component, thus suggesting a 'biopsychosocial-digital' approach to health and disease. Modifications to the "biopsychosocial" model and transition to the "biopsychosocial-digital" model are explained. Furthermore, the emerging implications of understanding health and disease are clarified pertaining to their relevance in training human resources for health care provision and research.